Important Information About Procedures for Opening a New Account: To help
the government fight the funding of terrorism and money laundering activities, federal
law requires all financial institutions to obtain, verify, and record information
that identifies each person who opens an account. What This Means for You:
When you open an account, we will ask you for your name, address, date of birth,
and other information that will allow us to identify you. We may also ask to see
your driver’s license or other identifying documents.

If applying for a credit card, would you like to Include Overdraft Protection for
your business checking account?

If auto loan request, vehicle description:

Company Information

Business Name*

Entity Type*

Member Number

DBA Name

Street Address*

City*State*Zip*

County*

Telephone Number*
Must be in xxx-xxx-xxxx format

Fax Number
Must be in xxx-xxx-xxxx format

Website Address

Email Address

TAX ID Number*

Organized in State of*

Nature of Business*

Established Date*
Must be in mm/dd/yyyy format

Number of Employees

Present Management Since*
Must be in mm/dd/yyyy format

Number of Locations*

Company Financial Information

Most recent year's tax return*
Must be in YYYY Format

Current Annual Gross Revenue*
(No dollar signs, commas)

Current Annual Net Profit*
(No dollar signs, commas)

Depreciation Expense*
(No dollar signs, commas)

Interest Expense*
(No dollar signs, commas)

Officer's Compensation*
(No dollar signs, commas)

Total Assets*
(No dollar signs, commas)

Total Liabilities*
(No dollar signs, commas)

Net Worth/Equity*
(No dollar signs, commas)

Miscellaneous Information

Has the business or any principal/owner ever declared bankruptcy?*NoYes

Is the business or any principal/owner a party to any tax lien or lawsuit?*NoYes

Has the business incurred a loss in any of the past 3 years?*NoYes

Are there any delinquent State or Federal taxes owed by the business?*NoYes

Is the business for sale or under agreement that would change the ownership of the business?*NoYes

Has the business changed names in the past 5 years?*NoYes

Are any of the business assets pledged as collateral for any loan?*NoYes

Has the business or principal/owner ever settled a debt for less than the amount owed?*NoYes

Are all principals/owners US citizens?*NoYes
(If not, please provide us with the number and a copy of your
alien registration card)

How many owners will be on this application?

Owner/Guarantor Information

First*MiddleLast*Suffix

Date of Birth*
Must be in mm/dd/yyyy format (Must be at least 18 years of age)

Social Security Number*
Must be in xxx-xx-xxxx format

Street Address*

City*State*Zip*

Home Phone*
Must be in xxx-xxx-xxxx format

Cell Phone
Must be in xxx-xxx-xxxx format

Email Address

% of Business Owned*

Title*

Owner/Guarantor Employment Information

Employment Status*

OccupationEmployment DurationYear(s)Month(s)

Employer

Employer Address

CityStateZip

Work Phone
Must be in xxx-xxx-xxxx format

Owner/Guarantor Monthly Income Information

Gross Monthly Income

Other Income 1($)
(No dollar signs,commas)

Other Income 1 Description

Other Income 2($)
(No dollar signs,commas)

Other Income 2 Description

†Alimony, child support and separate maintenance income
do not need to be revealed if you do not wish to have them considered as a basis for repaying
this obligation.

Disclosure

Representation and Warranties:

The information contained in this statement is provided with the intent of the undersigned
to establish, modify or otherwise maintain an extension of credit from the credit
union. The undersigned acknowledges and understands that the credit union is relying
on information provided herein in deciding to grant or continue credit to the undersigned.
Each of the undersigned represents, warrants and certifies that the information
provided herein is true, correct and complete. Each of the undersigned agrees to
notify the credit union immediately and in writing of any change in name, address,
or employment and of any material adverse changes (1) in any of the information
contained in the statement or (2) in the financial condition of any undersigned
or (3) in the ability of any of the undersigned to perform its (or your) obligations
to the credit union. In the absence of such notice or a new and full written statement,
this should be considered as a continuing statement and substantially correct. If
the undersigned fail to notify the credit union as required above, or if any of
the information herein should prove to be inaccurate or incomplete in any material
respect, we may declare the indebtedness of the undersigned or the indebtedness
guaranteed by the undersigned, as the case may be, immediately due and payable.
The credit union is authorized to make all inquiries we deem necessary to verify
the accuracy of the information herein and to determine the creditworthiness of
the undersigned. The undersigned authorize any person or consumer reporting agency
to give information about our credit experience with the undersigned. As long as
any obligation or guarantee of the undersigned to the credit union is outstanding,
the undersigned shall supply annually an updated financial statement. This personal
financial statement and any other financial information that the undersigned gives
us shall be credit union property.

I/we have read and agree to the above Representation and Warranties Agreement.

Commercial Use

Commercial Use: The undersigned certifies that any property and/or proceeds from
the proposed request will be used by the applicant for commercial purpose only and
not for any personal, family or household purposes, and that the proposed request
would constitute a business loan which is exempted from the disclosure requirements
of Regulation Z – Truth in Lending Act. The applicant agrees to indemnify and hold
lender harmless from any and all claims, loss or damage resulting or caused by the
request being subject to any of the provisions of the federal Consumer Credit Protection
Act (Truth-in-Lending Act) and Regulation Z. The undersigned certifies that he/she
has full authority to act on behalf of applicant in connection with the above referenced
credit request.

I/we have read and agree to the above Commercial Use Agreement

Permission to Obtain a Credit Report

By clicking on "I agree", you authorize us to verify the information you submitted
and to obtain credit reports concerning you. Upon your request, we will tell you
if a credit report was obtained and give you the name and address of the credit
reporting agency that provided the report. You warrant to us that the information
you are submitting is true and correct. By submitting this application, you agree
to allow us to receive the information contained in your application, as well as
the status of your application.

I agree

EQUAL CREDIT OPPORTUNITY ACT NOTICE

The Equal Credit Opportunity Act prohibits creditors from discriminating against
credit applicants on the basis of race, color, religion, national origin, sex, marital
status, age (provided that the applicant has the capacity to enter into a binding
contract); because all or part of the applicant's income derives from any public
assistance program; or because the applicant has in good faith exercised any right
under the Consumer Credit Protection Act. The federal agency that administers compliance
with this law concerning this credit union is: National Credit Union Administration,
Office of Consumer Protection (OCP), Division of Consumer Compliance and Outreach
(DCCO), 1775 Duke Street, Alexandria, VA 22314. Phone - (703) 518-1141;
Fax - (703) 837-2460.

Right to Statement of Denial

If NWFCU denies your application for credit, you have the right to a written statement
of the specific reasons for the denial. To obtain the statement please contact NWFCU,
Business Services, 200 Spring Street, Herndon, VA 20170 or by phone at 703-709-8901
within sixty (60) days from the date you were notified of the Credit Union’s decision.
NWFCU will send you a written statement of reasons for the denial within thirty
(30) days of receiving your request.